When:

Where:

topic:

Do you have questions about ADRs and how to respond to them? Do you understand your appeal process if a claim is denied?

Objectives:

Review types of ADRs

Gain knowledge on effectively responding to ADRs

Understand the appeal process

What puts you at risk- UB-04, Pepper Report, Therapy Utilization

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Speaker Bio:

Stacy Darling of Post Acute Consulting has 17 years of experience in the Long-Term Care industry specializing in reimbursement, regulatory compliance, Quality Improvement and Therapy Department Development. She is an expert in coordination of rehabilitation and clinical services with Medicare reimbursement regulations. Ms. Darling spent 10 years as the Corporate Director of Rehabilitation Services for a multi-facility company. Her responsibilities included rehabilitation department development and oversight, overall reimbursement management, Medicare and Medicaid case mix maximization, RAI/MDS compliance and education, Medicare Part B revenue, QI tool development and monitoring, audit response including appeals and Activity Department oversight.